Thomas Kettlewell (NPI# 1457896185, PAC ID# 2769768506) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1457896185 |
| PAC ID by PECOS | 2769768506 |
| Professional Enrollment ID | I20191029001393 |
| Full Name | Thomas Kettlewell |
| Organization Legal Name | REYNOLDS MEMORIAL HOSPITAL INC |
| Address |
800 Wheeling Ave Glen Dale WV 26038-1660 |
| Phone Number | 3042214520 |
| Gender | M |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 9830184530 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510013 | REYNOLDS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 800 Wheeling Ave, Glen Dale, WV 26038-1660 | 3042214520 | REYNOLDS MEMORIAL HOSPITAL INC |
| Organization Legal Name | REYNOLDS MEMORIAL HOSPITAL INC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Alexander Michalski | Orthopedic Surgery | Reynolds Memorial Hospital Inc | 66840 Belmont Morristown Rd, Belmont, OH 43718-9665 |
| Nabiel Alkhouri | Hematology/oncology | Reynolds Memorial Hospital Inc | 901 Jefferson Ave, Glen Dale, WV 26038-1407 |
| Allison Virginia Badgley | Physician Assistant | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Raymond Albert Hinerman Jr. | Otolaryngology | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Katie Jane Inclan | Physician Assistant | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Andrew Michael Schmitt | Family Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Sarah Kasserman Marshall | Nurse Practitioner | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| David F Hess | Internal Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Trent G Mason | Family Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Marcia Haught | Family Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Street Address |
800 WHEELING AVE |
| City | GLEN DALE |
| State | WV |
| Zip | 26038-1660 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Zimmerman | Vascular Surgery | West Virginia University Medical Corporation | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Sarah Kasserman Marshall | Nurse Practitioner | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Janet L Hicks | Nurse Practitioner | West Virginia University Medical Corporation | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| James Christopher Kelly | Anesthesiology | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Cynthia Sue Hoit | Nurse Practitioner | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Bijal Patel Neal | Anesthesiology | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Joseph Hansroth | General Practice | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Sharon R Spratt | Certified Registered Nurse Anesthetist | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Michael David Myers | Orthopedic Surgery | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Pamela Jean Hoffer | Certified Registered Nurse Anesthetist | Reynolds Memorial Hospital Inc | 800 Wheeling Ave, Glen Dale, WV 26038-1660 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nabiel Alkhouri | Hematology/oncology | Reynolds Memorial Hospital Inc | 901 Jefferson Ave, Glen Dale, WV 26038-1407 |
| Irfan Zeb | Internal Medicine | West Virginia University Medical Corporation | 426 8th St, Glen Dale, WV 26038-1451 |
| Allison Virginia Badgley | Physician Assistant | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Raymond Albert Hinerman Jr. | Otolaryngology | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Katie Jane Inclan | Physician Assistant | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Andrew Michael Schmitt | Family Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Zaveen A Kureishy | Internal Medicine | 426 8th St, Suite 102, Glen Dale, WV 26038-1451 | |
| David F Hess | Internal Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Trent G Mason | Family Medicine | Reynolds Memorial Hospital Inc | 426 8th St, Glen Dale, WV 26038-1451 |
| Percival Ofrecio Buenaventura | Thoracic Surgery | West Virginia University Medical Corporation | 426 8th St, Glen Dale, WV 26038-1451 |
| Find all physicians in zip 26038 | |||
| City | GLEN DALE |
| Zip Code | 26038 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | GLEN DALE + GENERAL PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.